Rebound intracranial hypertension after treatment of spontaneous intracranial hypotension

Eur J Neurol. 2006 Jul;13(7):780-2. doi: 10.1111/j.1468-1331.2006.01369.x.


Spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache and the cause is usually cerebrospinal fluid leaks in spine level. Most patients with SIH have a benign course. Epidural blood patch (EBP) is the treatment of choice when initial conservative managements are ineffective. We reported a patient with SIH diagnosed by using magnetic resonance imaging and radionuclide cisternography. Acute rebound intracranial hypertension developed after EBP and was successfully treated with intravenous osmotic agent.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Patch, Epidural / adverse effects*
  • Cerebrospinal Fluid Pressure / physiology
  • Humans
  • Intracranial Hypotension / diagnostic imaging
  • Intracranial Hypotension / pathology
  • Intracranial Hypotension / therapy*
  • Magnetic Resonance Imaging / methods
  • Male
  • Radionuclide Imaging
  • Recurrence
  • Subdural Effusion / etiology*
  • Treatment Outcome